RCM Coder

Summary:

Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina.

Essential Functionsâ

â Post medical charges intoâ NextGenâ software in a timely manner to meet daily and monthly goals.â

Reviews and verifies documentation supports diagnoses, procedures, and treatment results.

Identifies diagnostic and procedural information and assigns codes for reimbursements

Ability to navigate around CPT, ICD-10, and HCPCS.â

Work with providers to correct the diagnosis or procedure codes so that the claim can be processed.â

Identify coding or billing problems from EOBs and work to correct the errors in a timely manner

Maintain in depth knowledge ofâ all payers.â

Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close.â

Update patient demographic and insuranceâ

Transfer open balances to correct insurance

Work with patients and guarantors to secure payment

Resolves disputed claims by gathering, verifying, and providing additional information

Identify problem accounts and escalate as appropriate.â

Write appeals and include supportingâ documentation

Run appropriate reports and contact insurance companies to resolve unpaid claims

Meet set department metrics and threshold set forth by manager.â

Assist with special projects and other job-related duties as needed.â

Minimum Qualificationsâ â

High School Diploma.â â

2 years of Professional coding/billing experience

AAPC certification preferred

Experience Medicare, Medicaid and other commercial and private payers.â â

Demonstrated well-developed interpersonal skills to interact in sensitive and/or complex situation with a variety of people.â

Excellentâ customer serviceâ and professionalism.â â

Maintains patient confidentiality.â

Proficient computer skills.â â

Organized and efficient.â

Self-motivated to meet objectivesâ â

Benefits:

401(k)

Health, Dental and Vision insurance

Employee assistance program

AFLAC

Paid time off